Provider Demographics
NPI:1689807430
Name:E&S PHLEBOTOMIST INCORPORATION
Entity Type:Organization
Organization Name:E&S PHLEBOTOMIST INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:PABRIAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-545-7377
Mailing Address - Street 1:1347 PALISADES DR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-4952
Mailing Address - Country:US
Mailing Address - Phone:815-545-7377
Mailing Address - Fax:
Practice Address - Street 1:1347 PALISADES DR
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-4952
Practice Address - Country:US
Practice Address - Phone:815-545-7377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty